NPI | 1598906240 |
---|---|
Former Name | MARIA MUNDANTHANAM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 047790) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 249036) |
207L00000X Anesthesiology (Licence: NJ 25MA08421600) | |
Enumeration Date | 2009-03-10 |
Last Update Date | 2016-07-29 |